Healthcare Provider Details

I. General information

NPI: 1609909431
Provider Name (Legal Business Name): HOCKESSIN COMPREHENSIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 HIDDEN VALLEY DR
NEWARK DE
19711-7463
US

IV. Provider business mailing address

71 HIDDEN VALLEY DR
NEWARK DE
19711-7463
US

V. Phone/Fax

Practice location:
  • Phone: 302-731-8770
  • Fax:
Mailing address:
  • Phone: 302-733-0507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROOPARANI M BHAT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 302-731-8770